Title DPP-4 Inhibitor Treatment in Chinese Type 2 Diabetes Patients: A Meta-Analysis
Authors Cai, Xiaoling
Gao, Xueying
Yang, Wenjia
Chen, Yifei
Zhou, Lingli
Zhang, Simin
Han, Xueyao
Ji, Linong
Affiliation Peking Univ Peoples Hosp, Dept Endocrinol & Metab, 11 Xizhimen Nan Dajie, Beijing 100044, Peoples R China.
Keywords Dipeptidyl peptidase-4 inhibitor
Type 2 diabetes mellitus
Chinese
Meta-analysis
ADD-ON THERAPY
RANDOMIZED CONTROLLED-TRIAL
DIPEPTIDYL PEPTIDASE-4 INHIBITORS
IMPROVES GLYCEMIC CONTROL
ORAL HYPOGLYCEMIC AGENTS
CLINICAL-TRIAL
DUAL COMBINATION
ASIAN PATIENTS
EFFICACY
SAFETY
Issue Date 2016
Publisher DIABETES TECHNOLOGY & THERAPEUTICS
Citation DIABETES TECHNOLOGY & THERAPEUTICS.2016,18(12),784-793.
Abstract Background: The aim of this meta-analysis was to assess the comprehensive clinical efficacy of dipeptidyl peptidase-IV (DPP-4) inhibitors in Chinese type 2 diabetes patients and to evaluate whether there is a different response to treatment with different kinds of DPP-4 inhibitors in those patients. Methods: Databases were systematically searched, and qualifying clinical studies of Chinese type 2 diabetes patients were included. Results: A total of 30 studies were included. Treatment with saxagliptin resulted in a significantly greater change from baseline in HbA1c levels (weighted mean difference [WMD], -1.28%; 95% CI, -1.37% to -1.19%); treatment with sitagliptin led to a significantly greater change from baseline (WMD, -1.17%; 95% CI, -1.46% to -0.89%); treatment with vildagliptin was associatedwith a significantly greater change in HbA(1c) levels (WMD, -0.77%; 95% CI, -0.88% to -0.65%); treatment with linagliptin led to a significantly greater change (WMD, -0.84%; 95% CI, -0.92% to -0.75%); and treatment with alogliptin also led to a significantly greater change (WMD, -0.91%; 95% CI, -1.48% to -0.33%). In terms of body weight, treatment with saxagliptin was associatedwith no significant decreases in Chinese type 2 diabetes mellitus (T2DM) patients (WMD, -0.17 kg, 95% CI, -4.26 to 3.92 kg). Treatment with sitagliptin and linagliptin was also associated with no significant changes in body weight (WMD, 0.16 and 0.11 kg, respectively, P>0.05). Conclusions: In Chinese type 2 diabetes patients, the efficacy of glucose control in all five kinds of DPP-4 inhibitor treatments was well confirmed, and no significant change in body weight was found.
URI http://hdl.handle.net/20.500.11897/458176
ISSN 1520-9156
DOI 10.1089/dia.2016.0302
Indexed SCI(E)
Appears in Collections: 人民医院

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